Presentation
Right lower abdominal pain with tenderness, fever and leukocytosis.
Patient Data
Age: 20 years
Gender: Male
From the case:
Acute appendicitis
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Dilated fluid-filled appendix (18 cm) with a thick enhanced wall, containing two appendicoliths (17 and 5 mm), obstructing the ostium with no evidence of wall defect. Periappendiceal fat stranding with thickening of the peritoneal reflections and free intraperitoneal fluid in the pelvis.
Enlarged liver with tongue-like appearance of the right lobe with inferior projection beyond the level of the most inferior costal cartilage in keeping with a Riedel lobe.
Moderately enlarged spleen (13.5 cm).
Motion artifact is noted in the upper abdomen.
Case Discussion
CT features of acute appendicitis with pelvic peritonitis that was confirmed at surgery.
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